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Permit (49) � a{ CITY OF TIGARD MASTER PERMIT '' COMMUNITY DEVELOPMENT Permit#: MST2016-00544 TtC AEtD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2017 Parcel: 2S 111 DA22600 Jurisdiction: Tigard Site address: 15491 SW APPLEWOOD LN Subdivision: HERITAGE CROSSING Lot: 45 Project: Heritage Crossing, Lot 45 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 885 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 28 Bathrooms: 4 Second: 1369 sf Garage: 361 sf Front: 15 Smoke Dwelling Units: 1 Third: 439 sf Right 4 Detectors: Yes Total: 2693 sf Value: $320,482.28 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2693 Owner: Contractor: DR HORTON INC. DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE STE 100 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97239 PORTLAND,OR 97239 PHONE: 503-222-4151 PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $30,093.92 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: /4' Permittee Signature: cG ? 446j..� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. C'vl/ This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. B�ildin€>< Permit An�riicaha �.IV ' °7� L 6e,• Residential r Cityof Tigard FOR OH ICjiiI. I N►. ("1 V . ! �d1 V ; ?a15 R��i.ev 13125 SW Nall 81vd.,Tigard,OR 97223 Date II li. /,� Ycrmii N Phone; 503.71K 2439 Fax. 503.5 (� �i , Pian Rex ie / ,,,, . I/syy t t;, i� Inspection Line. 503.639 41'5 � " j I��ll:� Da1c RN,. �,3 ■ ()cher Permit: / _��, ,J Inland: www.tigardta.gav t pawttca�g�• J LJILDING DIVI `//�i I�� ' Nautica Me1.1 . ra S •Page 2 W. �� Supplementallnlormatian Gr Cfr c < ', r'/ 1. TYPE OF WORK a New construction REQUIRED DATA:1-AND 2-FAMILY ON ELLING 0 Demolition Permit fees*are based on the value of the work f ❑Addition/alteration/replacement 0 Other Indicate the value{rounded to the nearest dollar) fall tied equipment,materials.labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION Q 1-and 2-family dwelling Valuation: $...3a6- 3 O 0 Commercial/industrialo` 12 Accessory building ❑Multi-family Number of bedrooms: s' at❑Master builder V ❑Other. Number of bathrooms: AI JOB SITE INFORMATION AND LOCATION total number of floors;3 i Job site address: /45- k rI • . _ ng area: •■ New dwelli City/State/ZIP:Tigard, OR 97223 _ square feet Suitebldg.lapt.no.: Garage carport area: a 6 square feet 3 a Project name A Cross street/directions to job site: LL +i ('Ducted porch area: S square feet ) 3 6 • Deck area: square feet • 1 Other structure area: square feet Subdivision: REQUIRED DATA:COMM -USHIS Lot no: toe, Pet fees*arebased on the valueERCIAL of the worECk performECKLedT Fax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment.materials,labor,ON erhead.and the profit for the DESCRIPTION OF WORK work indicated on this a..licationation. w FR Valuation: $ • Existing building area: square feet e PROPERTY OWNER 0 New building area: square feet TENANT Number of stories Name: DR orton Inc. Address: Type of construction: :i A +h . . . . 0 4 • . ii City/State/ZIP:Portland OR 97239 Occupancy groups: Phone:( 503) IZEIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 0 APPLICANT 81 CONTACT PERSON Ne15 Business name: DR Horton Inc. BUILDING PERMIT FEES' 'lease re er to se schedule Contact name:Emerald Weeks Structural plan review fee(or deposit): ■MIIIIIIII FLS plan review fee(if applicable): IIIIIIIIIMIN Address; 4380 SW Macadam Ave Suite 100 City/State/ZIP:Portland 0 97239 Total fees due upon application: Phone:(503 )222-4151 x1107 1211111 Amount received; IIIMIIIII PHOTOVOL f.AIC SOLAR PANEL S1 STEM FEES* E-mail: esweeks - drhorton.com CONTRACTOR Commercial and residential prescriptive installation of Business name: DR Horton Inc. roof-top mounted Photo Voltaic Solar Panel System. Address:4380 SW Macadam Ave Suite 100 Submit two(2)sets of roof plan with connection details and fire department access,along with the 201t)OOregon City;State.'zlp: Portland, OR 97239 I Solar Installation ee t checklist. Perini!Fee(includes plan review Phone:(503 )222-4151IIIIIIIIIIII and administrative fees : , CCB(ic.: 130859 State surcharge(12%of permit fee): $�1.60 Authorized signature: Total fee due upon application: S201.60t This permit application expires if a permit is not obtained Print name; within ISO days after it has been accepted as complete. , ` Date-2016 " Fee methodology set by 1 ri-County Building Industry Service Board. I:Building Permits Bl!P-RLSPcnnitA dcx 02 Pp• 24201 1 446.46l3Tt 1 102 COM WEB) n 1.1 civil 7 r ..i Njechanical Permit ApplicatitAtkiri V-L- 1 i iii(II I I( I I ••,1 CI\I 't i '.•' :: __37.k0/G wectiq, 5 7( 3 , „ „,. _ pt.,,,,,, ,,, -,, -,,,,,, .,,,, ..-t I '-f.• ,g,04 g g......„,..i , .ttaarack,taoaa 1 tn,: z.,:,4/41,r 11'-"A Intern:, ,4 All !IV:JO gg!2gg gg CFR Of FI6AR , .,. .-.- - Iva ...,„ r,,, ,:I., ',twill.nahatylAt Spiaaa aaa,a.a.aa AUILDING_DIVISI N' , ,_........_______ ............_____ ... . Ti PE OF WORK COMMERCIAL FEE* SCREDITE USE T,HET MTN I •Nc . ,,,,,,11,.0,,,, D ,! 0 rh...,,,Att,,,,i r ,-- — CATECORY ITV kONSTR11110.1 — — . RESIDENTIAL EQUIPMENT/SVSTILMS EFTS* —...... _ ,. — ...,... _441,1 At,—__--.-- Lr]( ,!ffill,:,,,,Lo iodu,!,,,t 0 'i„,„-,,,,,, i, ,i,i-,, iVW.1.1f tetPriV411 ,.,hi Ah47, i D . • , —._„ JOB SITE INFORMATION AND IX/CATION = Ilv.tillsfoiAlq il IIa .,..., , . - — ' i OR')- 6. l 1'.1 ia.--. , r ......,,,„ ,d.. .q.,, -' '''' '"' VV-VVkini.-CliOl ct , ., . ..... . ... . , . . . . . , +. ... ..1T,..1,,.tco, ,,..1 ,4-,.. .. ....... ....... . . ' ._. ... . .... ., ., . . „ . , ..... . . . , 0 ,.. ",'1, *4. .. — . .. _, . .. • th her NO svp11.11-4-t,. pit,,,',;4,4 0. t.., 1 twscsurttoev OF woRN , ,, .,,,„1,:,,,,,, ,„„-.: . i NCIV SI'It .. , • • - • , i...„, •...,,2•.•,...,.„,;,,- , . •. T. . • - ' -• • N'S gg*.t 1,1 LI:•St" . # I '• •' • • • I ..g.................-..-. .............•••.••••••••••• "I''' '''''''' '''`' #Phi' 1 al PROPERTY OWNER 7---- 0 TENANT ' - - . I mifonnu-ntal 0hatist and‘eniliatiiiii.: -t- "-,t1,- DR Horton Int:. k.,,,,,, 4380 SW Niacadain Ave Sone 100 „ ...... -4.. i N144./IP Portland, OR 97234 ,. . •-:., ,, ;0'1 ' 111-4151 .. ___ . 0APPLICANT I 11 CON"ACT PERSON ;t;,,• , -- ... ..- ' tkcipiping 0 v;fix that lour,N4 vi 4 14t A 414 h Atitlittaatt.ti „,,,,,, Prnerald Weeks • . I t . _.„,.... Nddir''''' 4380 SW Macadam Ave Sulic 100 • . . . ( 1, '''''',, /IP Pultidllti,Ok 97139 ' i • ... . 222- 4151 x 1 107 • • • . . . , csweekso drliorion.‘oni _...„.....„._ .....„,_ ... . . , CONTRACTOR . ., .. , A , „ 1.,i- _ ....... NIFAMANIC At.PERMIT ETES* ' ‘,,i i,.-..- .„4. .,:ii i",f, //Ay_ • .7 _LL.- .‘,/,,, ' ; ' : 4.- Atitiiiitat a - . , , . .... i -",-1. ,i .. /., .”' iiii. -'..- ,,,,„ ,,, . 101 kl PI RMII III , . .... . - - - -; - -,-----, .;;- ...----;=•-, • - I 6,,,f.,r ro,,1 Ippik.+1100(Arr..,1 A pat mat ta.tam!aatat•amaat ata athaaa a al, #1411 ho. .Ss<I iglk ti.1. - . -..... , •••• .g . . ..... , , . 11.1=MMIIMMIIMMIMMIMIMIMEMIII=10 RECEIVEP . Electrical Permit Application < �.� r I (IN OI I I( i t ,,I O\I l City of Tigard ) Received ;� 13125 SW Hail Blvd.,Tigard,OR 9 v DatdB . Permit No.:�. 0 , /J 6-�y, Phone: 503.718.2439 Fax: 503.598.1 1 I Of 1 IGAR�� Inspection Line: 503.639.4175 j p�j (� J Q( Other Permit: Internet: www.tigard-otgoy �.1�lll��lJ�1 V X31-1 aB Duds: H St!Piga 2In for f TYPE OF.WQIiif;, Supplemental Information ®New construction 0 Addition/alteration/replacement Please dreck all that 1 (submit actsREvan , e • . 0 Demolitionapply( bolt 2 sera of plana wfitetas checked below): 0 Other: D Service or feeder 400 amps or more ['Building over three stories. TEGORY'OFTCTION "'bete the available fault caftan O Marinas and boatyards, exceeds 10,000 amps at 150 volts or ❑Floating buildings, ❑ 1-end 2-family dwelling ❑Commercial/industrial- ❑Accessory building lase�,or exceeds ons. ❑Codrmreiai.rrm ❑Multi- amps for all other installations. buildings. agricultural Multi-family 0 Master builder 0 Other: OFire pump. JOB MT INFORMATION D 0 Installation of 75 KVA or LOCATION larger separately derived s[ Job no.: Job site address: Addr8nomergmo ofoy new systemmotor. load of q A; 'v1-2;"1.3; `�' 100HP or more. occupancy. ❑six or more residential units. O Recreational vehicle parks. D health-care facilities. 0 Supply voltage for more than O Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: N I P O service or feeder 600 amps or more. Cross street/directions to job site: i FEE SCHEDULE n.. OM New residential-single-or multi-ammiity dwelling Subdivision: Includes attached garage. Lot no.: a.a R.or less -al Tax map/parcel no.: Fa d 'd'l t 500El sq.a or portion DESCRIPTION OF WORK Limited energy,residential . with above a•.ft. ■ 75.00 MEM Limited energy,mulfamil residential with above .y ft. 111 75.00 © Services or feeders instaIado alteration and/or relocation 0 PROPERTY OWNER 1 200 amps to less i®-© 0 Ii✓NA1VT 201 amps to 400 snips Name: 401 amps to 600 amps - Address: 60i amps to 1,000 amps NI33001104 _© City/StatelZIP: Over 1,000 amps or volts -��_© relocation • Phone. Temp services or feeders installation,alteration,and/or ( ) F"ax:( ) 200 amps Owner installation:This installation is being made onor teas intended for sale,lease,rent,or exchange, property that I own which is not 201 amps to 400 amps 1®=© according to ORS 447,449,670,and 701. 401 amps to 599 amps MEM 9 Owner signature' Branch circuits new alteration or exteasio Date: A.Fee for branch circuits with r alien 0 APPLICANT 1 0 CONTACT PERSON above service or feeder fee, Business name; DR Horton Inc each branch circuit 7.42 © B.Fee for lxanch circuits without 1111111111 Contact name: Emery a Wee Sservice or feeder fee,first Address: 4380 SW maca a am Ave abraddch C1 Each add'I branch circuit ��_© City/State/ZIP: Portland OR 97239 Miscellaneous service or feeder not included Each manufactured or modular ■ Phone:( 1 ) dwellin service and/or feeder 67.84 E-mail: Pump or irrigation circle 10 • CONTRACTOR . i Signor outline lighting 11111111123111111118 Business name: r/ C !. % Signal circuit(s)or limited-energy MIN II G�l 1,alteaahi or extension. Address: 21.' 1/ ' Each additional ins.- ., over allowable in an of the above i R- Additional inspection - City/State/ZIP: (1 hr min) ®-: C / (�( (/ C i /'/ Investigation brmin) Phone: �/� "Z�'`.' (} Fax: �� 32C- [� b al plant(1 hr min) 78.18/hr _■ J 9 6j 0 Inspections for which no fee is i Electrical Lic.:•cz3 e Suprv.Lic.: /.7. S s•-ificall listed xhrmin 1111 90.00/ . Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES Apt ,.10 -- = ' m. Subtotal: - Print name:C _s Plan review(25%of. a E' Date: rmit fee): 11111111111111111.11 Authorized signature: ��" State surcharge( permit f ): II=1 is permit application TOTALPERMITRFEE Print name: Thexpires if a permit is not obtained within 180 �- Date: days after it las been accepted as complete LiBulwi�pF • Number of bona allowed per permit. 440-4615T(I I/05/COM/WEB Electrical Permit Application–City of Tigard ' Page 2–Supplemental Information -,;/ 5 2i-m3 /Por).0/e, oo 6-qv Limited Energy Permit Fees: CITY pFTIGgRD Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: DIVISIO Fee for all residential systems combined: 7e FEE SCHEDULE � .00 Deal,tiaa Qt.: Each *-1 'I5 Check Type of Work Involved• Renewable electrical energy systems: • 5ko,aorkcs 11.,t1.70 i 2 I smi ❑ Audio and Stereo Systems* 1 X3.56 1 tv15I,va 15.(11 to 25 loa 21'0.3,1 n Burglar Alarm Wind .eneration systems in excess of 25 kva: I XI 25.01 to 50 kca 3CiLn�- -, Garage Door Opener* 50.01 to IOU in 552.221 ® -,100 kva(fec in a.cnrd47 - Heating Ventilation and Air Conditioning with(PAR 415.'09.00401 '"'6 ---- Solar generation systems in excess of 25 kva: System* ' 1— __ ❑ l'ach additional kva,.su 25 - I - Vacuum Systems* +� r,;i — 10( ks a-r.0 adJitional rhar c z_L_ li.ri 31 E I I Other: ach additional ins,ection over allowable in any of the above: Each additional inspection is char ed at an hourly(1 hr min) III66...5 hr I Inspections 1—'----61.which no lee is a«;Iic,ll listed :hr min) COMMERCIAL WORK ONLY: III00.0ht Fee for each commercial system: ELECTRICAL PERMIT FEES (SEE OAR 918-309-0000) $7500 Subtotal 1 Enter on Pagel): Number of inspections allowed per permit. — Check Type of Work Involved: 0 Audio and Stereo Systems fl Boiler Controls ❑ Clock Systems 0 Data Telecommunication Installation [1 Fire Alarm Installation [7 HVAC I I Instrumentation 1 I Intercom and Paging Systems (1 Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: ' Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I..Eiurdu4'Pci iir.I ti PE;:nitApp LLR ERJ.uur RE,v5 r.:n1 Plumbing.Permit ApplicatillECEIVEn Building Fixturesf OR of l ice t S1: 0\1_1City of Tigard )V I'� 'in i Received tr I IIIIIII Date/By:13!23 SW Hall Blvd.,Tigard,OR �'®ITIGAR )' Phone: Fax: s03. Dale/By: 'Penn"No il s r�vl� us�u Other Permit No.: "GAR" c kuledknLine: 03.639.4173BUTLDTNG DIVISION Reedy/By:www.dg ov ice: j H See Page I for Notified/Method: Supplemental laferaatba ,.• - •. TYPE OF WORK. . .BEE* SCISD>ilia s:.. ;.*'y. r....: 0 New construction 0 Demolition For spedal lnformation use checklist 0 Addition/alteration/replacement 0 Othei. Description f QtY I Es Total New 1-2-family dwelling!(includes 100 R for each utility connection) CATEGORY OF COM-RUCTION SFR(I)bath 312.70 ❑I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500 32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other Fire sprinkler( ,sq.ft.) Page 2 JOB SITE !IPC fiMA 1QN:'AND LOCATION Site utilities: Job site address: Catch basin or area drain 18.76 City/State LIP: Drywell,leach line,or trench drain 18.76 Suite/bldgJapt.no.: Project name: \.-\f" ` Footing drain(no.linear ft.: ) Page 2 is J111. f Manufactured home utilities 50.03 Cross street/directions to job site; Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_J Page 2 Storm sewer(no.linear ft.:__) Page 2 Water service(no.linear ft.:,,,_-J Page 2 Subdivision: ( Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 . DESCRIPTION OF:WORK Backwater valve 12.51 • . Clothes washer 25.02 �� Dishwasher 25.02 I Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER . • ..j D TENANT Expansion tank 12.51 Name: }i t.-07 `kA., Fixture/sewer cap 25.02 Floor drain/floor sinklhub 25.02-J c�3 %A(OP` �� ,A, , 'J Garbage a gedisposal 25.02City/StateLIP: 0\e__ 1 'bHose bib 23.02 Phone:0� _\.- \ k 1 Fax:( ) Ice maker 12.51 -• 0'APPLICANT C7 CONTACT PERSON Interceptor/grease trap 25.02 Business name: �� ,--t ---(f}r\ I V c.) Medical gas(value:S ) Page 2 Primer 12.51 Contact name: \i'\ 101 \ .e r�' Roof ` u ofdrain(commercial) 12.51 Address: ., Sink/basin/lavatory 25.02 City/State2lP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: e,?_voI /I(Jiei dV 14 CV >n . CO,VV l Urinal 25.02 •CONTRACTOR �+ �' 1 Water closet 25.02 Water heater 37.52 Business name:EDWARD MULLEN PLUMBING +` Water piping/DWV 56.29 Address:1601 SE RIVER ROAD Other: 25.02 City/State/ZIP:HILLSBORO,OREGON 97123 Subtotal Phone:(503)640-0113 Fax:(503)640-4483 Mititwm permit fee: 572.50 CCB Lic.:94689 Plumbing Lic.no.:34-260PB Plan review (25%of permit fee) OP/OP State surcharge(1295 of permit fa) Authorized signature: ` II' _/ _ TOTAL PERMIT FEE Print name:RAY MULLEN Date: This permit applieatios expires ifs permit is cot obtained within IAO days after k has bees accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board. moddl,aVvarUVLMU.terantApp.me to/O1,09 1W-MIors'tom/comment City of Tigard III g q COMMUNITY DEVELOPMENT DEPARTMENT T l c R D Building Permit Review — Residential Building Permit #: /iris 7,40 i 6,, _ ons-- y Site Address: ( 51 G1 I SW A ppu.wood LcirtL Project Name: !-- r tri y e. Cross i n cC s. Lot #: 15" (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: eAvv SFR ,i7 Verify site address/suite#exists and active in permit system. It River Terrace Neighborhood: /21 No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan Ming structures on site ,Site plan must be on 8-1/2"x 11"or 11 x 17"paper XFootprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations /{North arrow 4Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number -Rtzreation of wells/septic systems .Applicant information(name and phone number) ❑Existing trees to be retained with drip line,and tree ;211L.ot dimensions and building setback dimensions protection measures tot area,building coverage area,percentage of coverage and /Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) treet names /Property corner elevations(2 foot contour lines if more than 4 foot differential) ,Z Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes El No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified El No Applied For: ❑ Yes ❑ No,stop intake [P' Land Use Case#: Z.ON201S- 0()000 , EU(32015- 00015 cdZoning: R — 12 0 Required Setbacks: Front )5 Rear L5 Side 1 Street Side Garage Zp pr Landscape Requirement: 2...o cy. Lot Coverage Maximum: 80 0 Building Height: Maximum Height ,_,{ �J g 7 S Actual Height 29 1u Visual Clearance XEasements Sensitive Lands: ❑ Yes ❑ No Type jczi Urban Forestry Plan Conditions "Met"prior to issuance of building permit otes: Cfin c i111)( s 10 be fp.- Prior to YSSocIr c.L.. o btt i( cL rlc1 >pti m l 4 . Approved y Planning: /l t�� 1("\ ---..„.'_ Date: 11 / 1 (o/ 1 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgpernutRvw RES 091216.docx Building Permit Submittal Original Submittal Date: (j /1.5-4 Site Plans: # & Building Plans: # 3 Building Permit#: Enter building permit#above. Workflow Routing: Planning engineering 'Permit Coordinator i2-"Building Workflow Sign-off: ,r- Sign-off for Planning(include notes from planning review) Route Application Documents: /In Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: t Date: /A/��sA ith Engineering Review ( Slope at building pad: -2X- Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: k Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: Cl Yes No LIDA Facility on lot: El Yes i No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: P Date: /...7,-;-.6‘—(4 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: fvj3 00'1 r.4 r),)3 Li it kild - Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ,-SDC Fees Entered: Wash Co Trans Dev Tax: C 'Yes ❑ N/A L Tigard Trans SDC: C/Yes El N/A Parks SDC: 2/ ❑ N/A SOK to Issue Permit l _/ q , Approved by Permit Coordinator: 0,e Lu, -- e„,,,,,..„ Date: I:\Building\Forms\B1dgPermitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15491 SW APPLEWOOD LN, TIGARD, December 15, 2017 at OR, 97224 12:02:02 PM Record Type: Record ID: Residential - Master Permit MST2016-00544 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15491 SW APPLEWOOD LN, TIGARD, January 16, 2018 at OR, 97224 9:49:05 AM Record Type: Record ID: Residential - Master Permit MST2016-00544 Inspection Type: Inspector: 399 Plumbing final Chip Barnett Result: PASS Comments: Previous inspection corrections have been completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15491 SW APPLEWOOD LN, TIGARD, January 16, 2018 at OR, 97224 9:49:19 AM Record Type: Record ID: Residential - Master Permit MST2016-00544 Inspection Type: Inspector: 699 Mechanical final Chip Barnett Result: PASS Comments: Previous inspection corrections have been completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15491 SW APPLEWOOD LN, TIGARD, January 16, 2018 at OR, 97224 9:49:42 AM Record Type: Record ID: Residential - Master Permit MST2016-00544 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - CofO Comments: Violation Summary: Inspector Contractor